Epidural anesthesia is initiated for a primigravida at 40 weeks gestation who is in active labor. Which assessment has the greatest priority for the practical nurse to monitor during the administration of epidural anesthesia?
Level of pain sensation.
Maternal blood pressure (BP).
Infusion pump and IV site.
Variability of fetal heart rate.
The Correct Answer is B
The greatest priority for the practical nurse to monitor during the administration of epidural anesthesia is maternal blood pressure (BP). Epidural anesthesia can cause maternal hypotension due to vasodilation and decreased venous return, which can result in decreased fetal perfusion and oxygenation. Therefore, it is important for the practical nurse to monitor maternal BP frequently and promptly report any significant changes to the healthcare provider. Options A, C, and D are also important assessments, but they are not the priority in this scenario.
Therefore, options A, C, and D are not answers because they are not the priority assessment during the administration of epidural anesthesia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A male client with paranoia can be expected to exhibit behavior such as being **openly hostile to others for no apparent reason**. Paranoia is a mental health condition characterized by intense and irrational mistrust or suspicion of others. This can lead to hostility and aggression towards others, even when there is no apparent reason for it.
Correct Answer is A
Explanation
Newborns have a stump of the umbilical cord attached to their belly button which eventually falls off within 1-2 weeks. During this time, it is important to keep the area clean and dry to prevent infection. The PN should instruct the parents to clean the area with water and a clean cloth or cotton swab, and then gently pat the area dry with a clean towel. The parents should also be advised to avoid using any harsh soaps, lotions, or alcohol on the cord stump, as this can cause irritation or delay the healing process. It is not recommended to cover the cord stump with a sterile dressing unless specifically instructed to do so by a healthcare provider.
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